JACOB KIRT OLSON M.D.
NPI 1225396237
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since April 26, 2012PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST, GME OFFICE CSP 21005, LOMA LINDA, CA 92354(909) 558-4289 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Kirt Olson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB KIRT OLSON M.D. (NPI 1225396237) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1225396237
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB KIRT OLSONCredential: M.D.
Location Address11234 ANDERSON ST, GME OFFICE CSP 21005Loma Linda, CA 92354-2804
Mailing Address250 N Shadeland Ave OfcIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2012
Enumeration DateApril 26, 2012
Last NPPES UpdateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
NPI 1225396237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X · License 1225396237 (IN)
11234 ANDERSON ST, Loma Linda, CA 92354

Secondary Practice Location 1

Location 1705 Riley Hospital DrIndianapolis, IN 46202-5109 · Phone (317) 944-4681

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Kirt Olson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941682926
PECOS Enrollment IDI20220808002206
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Olson's NPI number?

The NPI number for Jacob Olson is 1225396237. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Jacob Olson located?

Jacob Olson practices at 11234 Anderson St Gme Office Csp 21005, Loma Linda, CA 92354. The listed phone number is (909) 558-4289.

What is Jacob Olson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Olson enrolled in Medicare?

Yes. Jacob Olson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Olson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Jacob Olson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Olson affiliated with any hospitals?

According to CMS data, Jacob Olson is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Jacob Olson was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.